Written exposure therapy for posttraumatic stress symptoms and suicide risk: Design and methodology of a randomized controlled trial with patients on a military psychiatric inpatient unit.

Autor: Marx BP; Behavioral Science Division, National Center for PTSD at VA Boston Healthcare System, 150 S. Huntington Avenue (116B-4), Boston, MA 02130, USA; Department of Psychiatry, Boston University School of Medicine, 72 East Concord St., Boston, MA 02118, USA. Electronic address: brian.marx@va.gov., Fina BA; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: Fina@uthscsa.edu., Sloan DM; Behavioral Science Division, National Center for PTSD at VA Boston Healthcare System, 150 S. Huntington Avenue (116B-4), Boston, MA 02130, USA; Department of Psychiatry, Boston University School of Medicine, 72 East Concord St., Boston, MA 02118, USA. Electronic address: Denise.Sloan@va.gov., Young-McCaughan S; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA; Research and Development Service, South Texas Veterans Health Care System, 7400 Merton Minter Boulevard, San Antonio, TX 78229, USA. Electronic address: YoungS1@uthscsa.edu., Dondanville KA; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: Dondanville@uthscsa.edu., Tyler HC; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: TylerH@uthscsa.edu., Blankenship AE; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: BlankeshipA@uthscsa.edu., Schrader CC; Department of Behavioral Health, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue, Fort Hood, TX 76544, USA. Electronic address: Christian.C.Schrader.mil@mail.mil., Kaplan AM; Department of Behavioral Health, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue, Fort Hood, TX 76544, USA. Electronic address: Alexander.m.kaplan.mil@mail.mil., Green VR; Department of Behavioral Health, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue, Fort Hood, TX 76544, USA. Electronic address: Vanessa.R.Green16.ctr@mail.mil., Bryan CJ; Department of Psychiatry & Behavioral Health, The Ohio State University, 370 W. 9(th) Avenue, Columbus, OH 43210, USA; VISN 2 Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14244, USA. Electronic address: Craig.Bryan@osumc.edu., Hale WJ; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA; Department of Psychology, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA. Electronic address: Willie.Hale@utsa.edu., Mintz J; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA; Research and Development Service, South Texas Veterans Health Care System, 7400 Merton Minter Boulevard, San Antonio, TX 78229, USA. Electronic address: Mintz@uthscsa.edu., Peterson AL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA; Research and Development Service, South Texas Veterans Health Care System, 7400 Merton Minter Boulevard, San Antonio, TX 78229, USA; Department of Psychology, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA. Electronic address: PetersonA3@uthscsa.edu.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2021 Nov; Vol. 110, pp. 106564. Date of Electronic Publication: 2021 Sep 05.
DOI: 10.1016/j.cct.2021.106564
Abstrakt: Studies of active duty service members have shown that military personnel who screen positive for posttraumatic stress disorder (PTSD) are more than twice as likely to make a suicide attempt. Evidence-based PTSD treatments can reduce suicidal ideation; however, it can be challenging to provide evidence-based, trauma-focused, PTSD treatment to high-risk patients on an acute psychiatric inpatient unit because the priority of care is stabilization. Treatment for PTSD requires more time and resources than are typically afforded during inpatient hospitalizations. Written Exposure Therapy is an evidence-based, five-session, trauma-focused treatment for PTSD that may overcome the implementation challenges of providing PTSD treatment in an acute inpatient psychiatric treatment setting. This paper describes the design, methodology, and protocol of a randomized clinical trial. The goal of the study is to determine if five 60-min sessions of Written Exposure Therapy enhanced with Crisis Response Planning for suicide risk reduces the presence, frequency, and severity of suicidal ideation, suicidal behavior, rehospitalization, and non-suicidal, self-injurious behaviors. The study also will determine if Written Exposure Therapy for Suicide reduces posttraumatic stress symptom severity among military service members, veterans, and other adult military beneficiaries admitted to an acute psychiatric inpatient unit for comorbid suicide ideation or attempt and PTSD symptoms compared with Treatment as Usual. The study is designed to enhance the delivery of care for those in acute suicidal crisis with comorbid PTSD symptoms.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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